Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $36.88 / $49.38	Professional		$24.37	$36.88	$49.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $15.48 / $20.23	Professional	26	$12.12	$15.48	$20.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.92 / $19.32 / $33.75	Professional	TC	$12.92	$19.32	$33.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $32.53 / $32.53	Professional		$32.53	$32.53	$32.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $26.40	Facility		$23.40	$23.40	$26.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $52.29 / $67.23	Professional		$23.40	$52.29	$67.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $25.03 / $25.03	Professional	26	$25.03	$25.03	$25.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.23 / $28.23 / $28.23	Professional	TC	$28.23	$28.23	$28.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $31.09 / $80.94	Professional		$24.77	$31.09	$80.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $14.96 / $29.00	Professional	26	$11.81	$14.96	$29.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.96 / $16.53 / $62.62	Professional	TC	$12.96	$16.53	$62.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $38.08 / $49.38	Professional		$29.07	$38.08	$49.38
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $17.18 / $22.51	Professional	26	$13.69	$17.18	$22.51
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $15.08 / $20.29 / $33.75	Professional	TC	$15.08	$20.29	$33.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $33.77 / $48.25	Professional		$27.05	$33.77	$48.25
United Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $38.18 / $56.74	Professional		$30.86	$38.18	$56.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.65 / $18.26 / $26.52	Professional	26	$14.65	$18.26	$26.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.83 / $19.93 / $35.15	Professional	TC	$15.83	$19.93	$35.15